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Project Name and/or Number. <br /> PART ONE: Applicant Informa#ion <br /> !f applicant is an entity(company,govemment entity,partnership,etc.),an authorized contad person must be identified. Ifthe <br /> appiicant is using an agent(consultant,lawyer,or other third party)and has authorized them to act on their behalf,the agent's <br /> contact information must also be provided. <br /> Applicant/Landowner Name: !on Norris <br /> Mailing Address: 2080 Webber Hil!Road,Oron�,MN 55391 <br /> Phone: 6i2-963-3953 <br /> E-maY Address: ion�oxbowhardwoods.cam callvmorr�Daol.com <br /> Author�ed Coretact(do not oomplete if same as above}: <br /> Mailing Address: <br /> Phone: <br /> E-mail Address: <br /> Agent Name: Bapray Environmerttal Services LLC, Keliy Bopray <br /> Malling Address: N7831920�'Street,R�rer Falls,WI 54022 <br /> Phone: 715-3d7-4577 <br /> E-mail Address: kjbopray�yahoo.com <br /> PART TWO: Site Location Information <br /> County: Hennepin 6ty/Township: Orono <br /> Parcel ID and/or Address: 460 Orchard Park Raad,Orano,MN 55391 <br /> t.egal Demtption(Section,Township,Range): Part of the SW X,N/W�G,Sec.32,T118N,R23W <br /> lat/L,ong(decimal degrees): <br /> ` Attxfi a map showtng the bcation of the srte in relation ta local streets,roads,hlghways. <br /> � Appro�dmate sixe af stte{acral or if a I'mear project.length(feet): 23 acres <br /> � <br /> I ff you know that your proposal will require an indivldual Permit from the U.S.Army Corps of Eng'rneers,you must provide the <br /> I names arsd addresses of all property awners adjacent to t�he project site. This Information may be provided by attacfiing a list to <br /> Iyaur application or by using block 25 of the Applicatlon for Department of the Army permit whith can be obtained at: <br /> htta•Uwww mva usace armv mi�/Portals/57/docs/re�ulato�v/ReaulatoryDoa/enaform 434� 2012oct.adf <br /> PART THREE: Genera! Project/Site tnformation <br /> Ifthls application is related to a delineation approvak,exemption detennination,jurlssiictionai determination,or other <br /> correspondertce submitted prior to this application then describe that here and provide the Corps of Engineers project number. <br /> Describe the project that is being proposed,the project purpose and need,and schedule for Imptementatlon and campletian.The <br /> project desa'iption must fully descrlbe the nature and scope of the proposed activity indudfng a description of all proJett elements <br /> t�hat effect aquatic resources(wetiand,lake,tributary,etc.)and must a�so indude plans and cross section or proflle drawings <br /> showing the focation,cAaracter,and dimensions of all proposed activities and aquatit r�source impacts. <br /> i Lot subdivislon,no wetland impacts anticlpated. <br /> Minnesota Interagency Water Resource Application Form February 2014 Page 3 of 11 <br />